{"id":55235,"date":"2024-01-12T20:18:33","date_gmt":"2024-01-12T20:18:33","guid":{"rendered":"https:\/\/medsname.com\/stemetil\/"},"modified":"2026-04-30T10:24:50","modified_gmt":"2026-04-30T10:24:50","slug":"stemetil","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/stemetil\/","title":{"rendered":"Stemetil"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">\u26a1 R\u0103spuns rapid \u2014 Ce este Stemetil?<\/h3>\n<p style=\"margin:0;\"><strong>Stemetil<\/strong> este prochlorperazine maleate 5 mg \u2014 un antipsihotic fenotiazinic de prima genera\u021bie utilizat pe scar\u0103 larg\u0103 la doze mici pentru <strong>grea\u021b\u0103 \u0219i v\u0103rs\u0103turi severe, vertij, boala Meniere \u0219i vertijul labirintic<\/strong> datorat disfunc\u021biei urechii interne. Blocheaz\u0103 receptorii D2 dopaminergici centrali \u00een zona trigger chemoreceptoare (antiemetic) \u0219i \u00een labirint (anti-vertij), \u0219i \u00eentr-o m\u0103sur\u0103 mai mic\u0103 receptorii H1 histaminici \u0219i muscarinici. Doz\u0103 standard: <strong>5\u201310 mg de trei ori pe zi oral pentru grea\u021b\u0103 sau vertij, max 30 mg\/zi<\/strong>; utilizarea la doze mai mari pentru tulbur\u0103ri bipolare\/schizofrenie este rar\u0103 ast\u0103zi datorit\u0103 alternativelor atipice. Produc\u0103tor certificat WHO-GMP.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f5f6f8;border:1px solid #e1e4e8;border-radius:6px;padding:14px 18px;margin:24px 0;font-size:14px;\"><strong>De ce s\u0103 comanzi de la MedsBase:<\/strong> \u2714 <strong>produc\u0103tor certificat WHO-GMP<\/strong> \u2714 Ambalaj discret \u2714 Livrare worldwide \u2714 <a href=\"https:\/\/medsbase.com\/ro\/reviews\/\">Recenzii verificate ale clien\u021bilor (peste 1.400 de clien\u021bi)<\/a><\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Fiecare comand\u0103 este acoperit\u0103 de politica noastr\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\"><strong>Politica noastr\u0103 de Reexpediere Garantat\u0103<\/strong><\/a> \u2014 dac\u0103 coletul dumneavoastr\u0103 nu sose\u0219te \u00een 20 de zile lucr\u0103toare, \u00eel relivr\u0103m.<\/p>\n<h3>De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Medicamentele noastre generice sunt procurate de la produc\u0103tori certifica\u021bi WHO-GMP \u0219i expediate la nivel mondial \u00een ambalaje discrete \u0219i simple \u2014 f\u0103r\u0103 denumirea medicamentului pe exteriorul coletului. Pl\u0103\u021bile cu cardul sunt procesate printr-un procesor reglementat (descrierile de pe extrasul de cont includ un procesor de pl\u0103\u021bi cu card reglementat \u2014 niciodat\u0103 \u201cMedsBase\u201d sau numele vreunui medicament). Accept\u0103m \u0219i criptomonede \u0219i transferuri bancare SEPA. Fiecare comand\u0103 este sus\u021binut\u0103 de Politica noastr\u0103 de Asigurare pentru Relivrare.<\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\"><strong>\u26a0\ufe0f Avertiz\u0103ri legate de antipsihoticele de prima genera\u021bie.<\/strong> Prochlorperazine este un antipsihotic tipic (de prima genera\u021bie) \u0219i are acelea\u0219i avertismente de clas\u0103: distonie acut\u0103, acatisie, parkinsonism, sindrom neuroleptic malign \u0219i discinez\u0103 tardiv\u0103. Riscul depinde de doz\u0103 \u0219i durat\u0103; dozele antiemetice utilizate pentru grea\u021b\u0103\/vertij sunt mai mici dec\u00e2t cele antipsihotice, dar efectele extrapiramidale pot ap\u0103rea (\u00een special la b\u0103rba\u021bii tineri \u0219i femeile \u00een v\u00e2rst\u0103). S-a observat mortalitate crescut\u0103 la pacien\u021bii v\u00e2rstnici cu demen\u021b\u0103 trata\u021bi cu antipsihotice \u2014 evita\u021bi \u00een aceast\u0103 popula\u021bie. Evita\u021bi \u00een boala Parkinson.<\/div>\n<h3 class=\"wp-block-heading\">De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Stemetil este furnizat de la <strong>produc\u0103tor certificat WHO-GMP<\/strong>. Fiecare comand\u0103 este expediat\u0103 discret \u00een \u00eentreaga lume \u0219i este acoperit\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\">Politica noastr\u0103 de Reexpediere Garantat\u0103<\/a> \u2014 dac\u0103 nu sose\u0219te \u00een 20 de zile lucr\u0103toare, retrimitem f\u0103r\u0103 costuri suplimentare. Stemetil este un antiemetic \u0219i inhibitor vestibular de lung\u0103 durat\u0103, utilizat worldwide pentru grea\u021b\u0103 sever\u0103, vertij \u0219i simptome acute ale bolii Meniere.<\/p>\n<h2 class=\"wp-block-heading\">Mecanism de ac\u021biune<\/h2>\n<p>Prochlorperazine antagonizeaz\u0103 receptorii centrali D2 de dopamin\u0103. \u00cen zona de declan\u0219are chemoreceptoare, acest lucru produce un puternic efect antiemetic (mai puternic dec\u00e2t metoclopramid\u0103 \u00een cazul v\u0103rs\u0103turilor severe). \u00cen urechea intern\u0103 \u0219i nucleii vestibulari ai trunchiului cerebral, suprim\u0103 vertijul. Antagonismul H1 explic\u0103 sedarea; antagonismul muscarinic explic\u0103 gura uscat\u0103. La doze mai mari, are farmacologia tipic\u0103 a FGA (suprimarea psihozelor cu simptome pozitive).<\/p>\n<h2 class=\"wp-block-heading\">Indica\u021bii<\/h2>\n<ul>\n<li>Grea\u021b\u0103 \u0219i v\u0103rs\u0103turi severe (chimioterapie, postoperatorii, migren\u0103, gastroenterit\u0103)<\/li>\n<li>Vertij (neuronit\u0103 vestibular\u0103, BPPV cu simptome severe, exacerbare Meniere)<\/li>\n<li>Ameliorarea simptomelor bolii Meniere (combinat cu diuretic \/ restric\u021bie de sare \u00een diet\u0103)<\/li>\n<li>Labirintit\u0103<\/li>\n<li>Schizofrenie (rar \u2014 \u00eenlocuit\u0103 de atipice)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Doza<\/h2>\n<p>Adul\u021bi: 5\u201310 mg de trei ori pe zi pe cale oral\u0103 pentru grea\u021b\u0103\/vertij. Grea\u021b\u0103 asociat\u0103 migrenei acute: 5\u201310 mg doz\u0103 unic\u0103. Meniere: 5 mg de trei ori pe zi, ajusta\u021bi \u00een func\u021bie de controlul simptomelor (maxim 30 mg\/zi). Copii: evita\u021bi sub 10 kg. Insuficien\u021b\u0103 hepatic\u0103: reduce\u021bi doza. V\u00e2rstnici: \u00eencepe\u021bi cu jum\u0103tate de doz\u0103 \u2014 risc foarte mare de EPS.<\/p>\n<h2 class=\"wp-block-heading\">Efecte secundare<\/h2>\n<ul>\n<li>Frecvente: somnolen\u021b\u0103, gur\u0103 uscat\u0103, constipa\u021bie, vedere \u00eence\u021bo\u0219at\u0103, hipotensiune postural\u0103<\/li>\n<li>Extrapiramidale: distonie acut\u0103 (criz\u0103 oculogir\u0103, torticolis), acatisie, parkinsonism, discinez\u0103 tardiv\u0103<\/li>\n<li>Hiperprolactinemie: galactoree, modific\u0103ri menstruale<\/li>\n<li>Prelungirea intervalului QT, torsade de pointes (rar)<\/li>\n<li>Erup\u021bie cutanat\u0103 fotosensibil\u0103, icter colestatic (idiosincratic)<\/li>\n<li>Sindrom neuroleptic malign (rar, poten\u021bial letal)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interac\u021biuni medicamentoase<\/h2>\n<ul>\n<li>Al\u021bi antagoni\u0219ti ai dopaminei (metoclopramid\u0103, haloperidol, atipice): efecte extrapiramidale aditive \u2014 evita\u021bi administrarea concomitent\u0103.<\/li>\n<li>Medicamente care prelungesc intervalul QT (azitromicin\u0103, fluoroquinolone, ondansetron, citalopram, metadon\u0103): evita\u021bi asocierea.<\/li>\n<li>Depresante ale SNC (alcool, opioide, benzodiazepine): sedare \u0219i hipotensiune aditive.<\/li>\n<li>Levodopa, agonisti ai dopaminei: fiecare blocheaz\u0103 efectul celuilalt \u2014 evita\u021bi \u00een boala Parkinson.<\/li>\n<li>Anticolinergice: usc\u0103ciunea gurii, reten\u021bia urinar\u0103 \u0219i constipa\u021bia pot fi accentuate.<\/li>\n<\/ul>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3 class=\"wp-block-heading\">Pentru ce este utilizat \u00een principal Stemetil?<\/h3>\n<p>Gre\u021buri severe, v\u0103rs\u0103turi \u0219i vertij. Este mai potent dec\u00e2t metoclopramida pentru v\u0103rs\u0103turile severe \u0219i este standardul \u00een tratamentul vertijului vestibular.<\/p>\n<h3 class=\"wp-block-heading\">C\u00e2t de repede ac\u021bioneaz\u0103?<\/h3>\n<p>Efect antiemetic \u00een 30\u201360 de minute dup\u0103 administrare oral\u0103. Administrarea intramuscular\u0103 \u0219i rectal\u0103 (supozitoare de 5 mg sau 25 mg) ac\u021bioneaz\u0103 \u00een 30 de minute c\u00e2nd pacientul nu poate men\u021bine comprimatele.<\/p>\n<h3 class=\"wp-block-heading\">Este sigur s\u0103 conduci sub tratament?<\/h3>\n<p>Somolen\u021ba este frecvent\u0103. Nu conduce\u021bi p\u00e2n\u0103 nu \u0219ti\u021bi cum v\u0103 afecteaz\u0103. Primele 1\u20132 s\u0103pt\u0103m\u00e2ni sunt de obicei cele mai sedative.<\/p>\n<h3 class=\"wp-block-heading\">Pot s\u0103-l iau \u00eempreun\u0103 cu medicamentele pentru migren\u0103?<\/h3>\n<p>Da \u2014 prochlorperazine este adesea combinat\u0103 cu triptane \u0219i analgezice \u00een timpul unui atac de migren\u0103 pentru a controla grea\u021ba. Evita\u021bi combina\u021biile cu triptane care prelungesc intervalul QT \u0219i informa\u021bi prescrip\u021bionistul.<\/p>\n<h3 class=\"wp-block-heading\">Este acela\u0219i lucru cu metoclopramida?<\/h3>\n<p>Ambele sunt antagoni\u0219ti D2. Prochlorperazina este mai puternic\u0103 pentru v\u0103rs\u0103turi severe \u0219i este preferat\u0103 pentru vertij. Metoclopramida are un efect mai pronun\u021bat asupra motilit\u0103\u021bii gastrointestinale. Ambele prezint\u0103 risc de efecte secundare extrapiramidale.<\/p>\n<h3 class=\"wp-block-heading\">De ce am spasme musculare?<\/h3>\n<p>Distonia acut\u0103 este un efect secundar recunoscut la \u00eenceputul tratamentului \u2014 contrac\u021bii musculare necontrolate \u00een g\u00e2t, mandibul\u0103, ochi sau trunchi. Opri\u021bi medicamentul \u0219i c\u0103uta\u021bi ajutor medical. Se trateaz\u0103 cu anticolinergic intravenos (procyclidin\u0103).<\/p>\n<h3 class=\"wp-block-heading\">Pot s\u0103-l iau pe termen lung pentru boala Meniere?<\/h3>\n<p>Cursurile scurte p\u00e2n\u0103 la medii pentru exacerb\u0103ri ale simptomelor sunt tipice. Utilizarea pe termen lung (luni) cre\u0219te riscul de discinezii tardive \u2014 se recomand\u0103 supraveghere specializat\u0103 ORL\/neurologic\u0103.<\/p>\n<h3 class=\"wp-block-heading\">Este sigur \u00een sarcin\u0103?<\/h3>\n<p>Categoria C. Uneori este utilizat\u0103 pentru hiperemez\u0103 gravidic\u0103 sever\u0103 c\u00e2nd tratamentele de prim\u0103 linie e\u0219ueaz\u0103. Discuta\u021bi cu medicul obstetrician.<\/p>\n<h3 class=\"wp-block-heading\">Depozitare<\/h3>\n<p>Sub 25\u00b0C, departe de lumin\u0103. P\u0103stra\u021bi \u00een afara accesului copiilor.<\/p>\n<h3 class=\"wp-block-heading\">Ce fac dac\u0103 uit o doz\u0103?<\/h3>\n<p>Lua\u021bi-l c\u00e2nd v\u0103 aminti\u021bi. Dac\u0103 este aproape de urm\u0103toarea doz\u0103, omite\u021bi-o. Nu lua\u021bi o doz\u0103 dubl\u0103.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Alte Medicamente pentru S\u0103n\u0103tatea Gastrointestinal\u0103<\/h3>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/dompewal-tablet\/\">Dompewal \u2014 Domperidon\u0103<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/reglan\/\">Reglan \u2014 Metoclopramid\u0103<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/doxinate\/\">Doxinate \u2014 Doxilamin\u0103 + B6 (specific pentru gre\u021buri \u00een sarcin\u0103)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/zofer\/\">Zofer \u2014 Ondansetron (antiemetic 5-HT3)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/stugeron\/\">Stugeron \u2014 Cinarizin\u0103 (vertij)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/gastro-health\/\"><strong>Vede\u021bi toate Medicamentele pentru S\u0103n\u0103tatea Gastrointestinal\u0103<\/strong><\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:16px 20px;margin:24px 0;border-radius:4px;\"><strong>\u2695 Dezaprobare medical\u0103.<\/strong> Aceast\u0103 pagin\u0103 are scop informativ \u0219i nu \u00eenlocuie\u0219te sfatul medical al unui profesionist calificat din domeniul s\u0103n\u0103t\u0103\u021bii. Vertijul persistent sau v\u0103rs\u0103turile necesit\u0103 evaluare pentru cauze vestibulare, cardiace \u0219i neurologice.<\/div>","protected":false},"excerpt":{"rendered":"<p>Stemetil (Prochlorperazine 5 mg) \u2014 antiemetic fenotiazinic \u0219i inhibitor vestibular pentru grea\u021b\u0103 sever\u0103, v\u0103rs\u0103turi, vertij, boala Meniere \u0219i v\u0103rs\u0103turi asociate migrenei. Produc\u0103tor certificat WHO-GMP. Livrare worldwide de la MedsBase.<\/p>","protected":false},"featured_media":55236,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3542,3342],"product_tag":[3885,3886],"class_list":{"0":"post-55235","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-gastro-health","8":"product_cat-general-health","9":"product_tag-prochlorperazine-maleate","10":"product_tag-stemetil","12":"first","13":"instock","14":"shipping-taxable","15":"product-type-simple"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product\/55235","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/comments?post=55235"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/55236"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=55235"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=55235"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=55235"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=55235"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}